Factor in diabetes and this task can suddenly seem like an insurmountable obstacle overcome only by the most health-conscious fitness guru. Some diets are clearly fads, popping up into existence seemingly overnight, selling books and recipes and often food itself, only to fade into the twilight and be overtaken the next day by yet another set of guidelines by which we are to become, optimistically, the best self we can be. There are seemingly endless options to curate a diet to meet every notion or need. So what about the ketogenic diet? Is it a fad that will one day be supplanted by the next newest way to eat, or will the science behind it ensure it keeps a lifelong and loyal following? And if the latter, what role can it play in the lives of those living with diabetes? Ketogenic diets were first proposed as a way to control epileptic seizures in children. Before keto diets, epileptics often fasted to reduce seizures, so the keto diet offered a less restrictive alternative. Though effective, the diet was mostly supplanted by medications — except in a segment of the population suffering from epilepsy that cannot control it with medicine, and for them, the ketogenic diet has had great success.
Low-carb and ketogenic diets are popular among clinicians and patients, but the appropriateness of reducing carbohydrates intake in obese patients and in patients with diabetes is still debated. Studies in the literature are indeed controversial, possibly because these diets are generally poorly defined; this, together with the intrinsic complexity of dietary interventions, makes it difficult to compare results from different studies. Despite the evidence that reducing carbohydrates intake lowers body weight and, in patients with type 2 diabetes, improves glucose control, few data are available about sustainability, safety and efficacy in the long-term. In this review we explored the possible role of low-carb and ketogenic diets in the pathogenesis and management of type 2 diabetes and obesity. Furthermore, we also reviewed evidence of carbohydrates restriction in both pathogenesis of type 1 diabetes, through gut microbiota modification, and treatment of type 1 diabetes, addressing the legitimate concerns about the use of such diets in patients who are ketosis-prone and often have not completed their growth. According to the International Diabetes Federation 8th Diabetes Atlas, about million people worldwide have diabetes and, if the current trends continue, million of people aged 20—79 will have diabetes by [ 1 ]. Nutrition is key for preventing type 2 diabetes T2D and obesity, but there are no evidence-based data defining the best dietary approach to prevent and treat these conditions. In the last decades, low carbohydrate diets LCD and ketogenic diets KD have become widely known and popular ways to lose weight, not only within the scientific community, but also among the general public, with best-selling dedicated books or intense discussion on social media networks staying at the top of the diet trend list for years.
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Longer, larger clinical trials are needed to better assess diabbetic effects. Many people with diabetes who abide by the keto diet have found diabetic they significantly reduce their use of insulin. Autoimmune Diseases. Writing—original draft preparation, A. Ley R. Diet put that in perspective, diet one-ounce slice of bread has diabetic 14 grams of carbs. Food and Diabetes. The fat and protein in keto diets are also keto satiating than carbs.
Stories of people who have reportedly lost a lot of weight on very-low carbohydrate ketogenic diets seem to be everywhere. Ketogenic diets have been used for years as a medically prescribed treatment for difficult cases of epilepsy, especially in children. The original Atkins diet included an initial ketogenic phase.